Evaluating culturally and linguistically integrated care for Latinx adults with mental and substance use disorders.
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| Title: | Evaluating culturally and linguistically integrated care for Latinx adults with mental and substance use disorders. |
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| Authors: | Walter, Angela Wangari, Morocho, Cesar, Chassler, Deborah, Sousa, Jessica, De Jesús, Diliana, Longworth-Reed, Laricia, Stewart, Emily, Guzman, Micaurys, Sostre, Jocelyn, Linsenmeyer, Andrew, Lundgren, Lena |
| Source: | Ethnicity & Health. Feb 2022, Vol. 27 Issue 2, p407-419. 13p. 4 Charts. |
| Subjects: | Mental illness treatment, Substance abuse treatment, Evaluation of medical care, Statistics, Confidence intervals, Hispanic Americans, Multivariate analysis, Behavior therapy, Primary health care, Medical care use, T-test (Statistics), Descriptive statistics, Integrated health care delivery, Homelessness, Data analysis software, Odds ratio, Data analysis, Logistic regression analysis, Adults |
| Abstract: | Objective: To evaluate changes in health and health care utilization outcomes for Latinx adults with substance use and mental disorders receiving integrated behavioral and primary health care. Design: Study sample included enrollees who completed baseline, 6-month and 12-month assessments (n = 107). Study outcomes were depression symptom severity, anxiety symptom severity, illicit drug use, emergency department utilization and homelessness status. Pre–post analyses were conducted using paired t-test and McNemar test to examine changes in study outcomes. Multivariable regression model estimated through generalized estimating equations explored the influence of the intervention on study outcomes. Results were presented in adjusted odds ratios (AOR) and 95% confidence intervals (CI). Results: Participants were less likely to report depressive symptoms (AOR: 0.496, 95%CI: 0.296–0.832), less likely to report anxiety symptoms (AOR: 0.539, 95%CI: 0.329–0.884), and less likely to experience homelessness (AOR: 0.556, 95%CI: 0.328–0.943) at 6-month assessment compared to baseline. Participants were also less likely to report depressive symptoms (AOR: 0.378, 95%CI: 0.209–0.684), less likely to report anxiety symptoms (AOR: 0.471, 95%CI: 0.270–0.821), less likely to experience homelessness (AOR: 0.333, 95%CI: 0.189–0.587), and less likely to utilize the emergency department in the past 30 days (AOR: 0.397, 95%CI: 0.188–0.837) at 12-month assessment compared to baseline. Conclusions: Integrating culturally responsive behavioral and primary health care services is critical for addressing the needs of Latinx adults with mental and substance use disorders, and other chronic diseases. This initiative has the potential to reduce disparities in access to and engagement in care for Latinx adults. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Objective: To evaluate changes in health and health care utilization outcomes for Latinx adults with substance use and mental disorders receiving integrated behavioral and primary health care. Design: Study sample included enrollees who completed baseline, 6-month and 12-month assessments (n = 107). Study outcomes were depression symptom severity, anxiety symptom severity, illicit drug use, emergency department utilization and homelessness status. Pre–post analyses were conducted using paired t-test and McNemar test to examine changes in study outcomes. Multivariable regression model estimated through generalized estimating equations explored the influence of the intervention on study outcomes. Results were presented in adjusted odds ratios (AOR) and 95% confidence intervals (CI). Results: Participants were less likely to report depressive symptoms (AOR: 0.496, 95%CI: 0.296–0.832), less likely to report anxiety symptoms (AOR: 0.539, 95%CI: 0.329–0.884), and less likely to experience homelessness (AOR: 0.556, 95%CI: 0.328–0.943) at 6-month assessment compared to baseline. Participants were also less likely to report depressive symptoms (AOR: 0.378, 95%CI: 0.209–0.684), less likely to report anxiety symptoms (AOR: 0.471, 95%CI: 0.270–0.821), less likely to experience homelessness (AOR: 0.333, 95%CI: 0.189–0.587), and less likely to utilize the emergency department in the past 30 days (AOR: 0.397, 95%CI: 0.188–0.837) at 12-month assessment compared to baseline. Conclusions: Integrating culturally responsive behavioral and primary health care services is critical for addressing the needs of Latinx adults with mental and substance use disorders, and other chronic diseases. This initiative has the potential to reduce disparities in access to and engagement in care for Latinx adults. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 13557858 |
| DOI: | 10.1080/13557858.2019.1685653 |
